Value of Teledermoscopy in Primary Healthcare Centers: Preliminary Results of the TELESPOT Project in Belgium
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BRIEF REPORT
Value of Teledermoscopy in Primary Healthcare Centers: Preliminary Results of the TELESPOT Project in Belgium Thomas Damsin . Gregory Canivet . Pauline Jacquemin . Laurence Seidel . Pierre Gillet . Didier Giet . Arjen F. Nikkels
Received: August 13, 2020 Ó The Author(s) 2020
ABSTRACT Introduction: Teledermoscopy using smartphone-based applications is becoming more and more important in a setting of increasing frequency of skin cancer and difficult access to specialized care. The TELESPOT project aimed to provide rapid diagnosis and speed up patient Digital Features To view digital features for this article go to https://doi.org/10.6084/m9.figshare.12906749. T. Damsin A. F. Nikkels (&) Department of Dermatology, University Hospital Centre, CHU du Sart-Tilman, Liege, Belgium e-mail: [email protected] G. Canivet Department of Computer Applications, University Hospital Centre, CHU du Sart-Tilman, Liege, Belgium P. Jacquemin Department of Methods of Projects, University Hospital Centre, CHU du Sart-Tilman, Liege, Belgium L. Seidel Department of Biostatistics, University Hospital Centre, CHU du Sart-Tilman, Liege, Belgium P. Gillet Medical Director, University Hospital Centre, CHU du Sart-Tilman, Liege, Belgium D. Giet Department of General Medicine, University Hospital Centre, CHU du Sart-Tilman, Liege, Belgium
flow between primary healthcare centers and a tertiary care center in Belgium. The aim of the present study is to describe the development of an in-house smartphone-based dermoscopy application, evaluate its real-life value in a series of primary healthcare centers, and present preliminary diagnostic data. Methods: Modified Likert scales were used to assess patient and general practitioner (GP) satisfaction rates for the system. Furthermore, a total of 105 photographic and dermoscopic images were acquired in a series of 80 patients at participating centers. Results: Overall, patient and GP satisfaction levels were 89% and 94%, respectively. Highpriority management was recommended in 7.6% of cases (8/105: 3 basal cell carcinoma, 1 primary cutaneous B-cell lymphoma, 1 Spitz melanocytic nevus, 1 congenital nevus, 1 in situ melanoma, and 1 invasive melanoma, proven by histology). Conclusions: The primary healthcare centers were highly satisfied with the TELESPOT project in terms of user-friendliness, efficacy, and reliability as well as in providing a reinforced image of first-line medicine efforts in combating skin cancer. Keywords: Melanoma; Primary healthcare; Public health; Skin cancer; Teledermatology; Teledermoscopy
Dermatol Ther (Heidelb)
Key Summary Points The TELESPOT project is based on a teledermoscopy device and smartphone application to be used for skin cancer detection in primary healthcare centers. Both physicians and patients participating in the TELESPOT teledermoscopy project reported very high satisfaction levels. In terms of skin cancer management in primary healthcare centers, teledermoscopy is a useful tool to preselect patients and allows rapid access to specialized
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